Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,466.84 / $8,709.64	Facility		$1,148.15	$4,466.84	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $5,888.44	Professional		$2,398.83	$3,019.95	$5,888.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $35,481.34 / $67,608.30	Facility		$13,182.57	$35,481.34	$67,608.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $8,912.51	Professional		$4,677.35	$4,677.35	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,677.35 / $6,309.57	Professional		$2,691.53	$4,677.35	$6,309.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $12,882.50	Professional		$3,090.30	$5,128.61	$12,882.50
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,981.07 / $4,677.35	Professional		$3,311.31	$3,981.07	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,951.21 / $7,413.10	Facility		$575.44	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $6,165.95	Professional		$2,818.38	$3,801.89	$6,165.95